ESBD_388291_1735845606448_SOL_EXH_F.4_405-25R0002669_726-84_Deposit.pdf

This is a Direct Deposit Authorization form from the State of Texas Comptroller of Public Accounts, used by vendors, individual recipients, or state employees to receive payments or modify existing direct deposit information. The form contains multiple sections for transaction types including new setup, changes to financial institutions or account numbers, account type changes, and cancellations. It requires detailed payee identification information including SSN, TIN, or EIN numbers, along with complete banking information such as routing numbers and account numbers.

The form includes specific verification requirements for international payments and requires authorization signatures from both the payee and state agency representatives. Financial institution information must be provided for new accounts, including routing numbers, account numbers, and optional financial representative details. The form contains clear instructions for completion and submission, with specific sections designated for state agency use only. No specific dollar amounts or contract values are mentioned as this is a standard administrative form for establishing payment mechanisms.